So you have been thinking about Botox in Johnson City, TN. Maybe it is the forehead lines that show up in every photo, the “11s” between your brows that make you look stressed even when you feel fine, or a clenched jaw that aches by the end of the day. Whatever brought you here, you want a result that looks like you, not like you had work done.
At Peak Performance Wellness & Aesthetics in Johnson City, TN, that natural-looking result is the whole point. Treatments are performed under the care of Eddie Hughes, FNP-BC, who brings more than 15 years of medical experience across emergency medicine, neurosurgery, and regenerative medicine to every injection. The goal is never a frozen face. It is a refreshed version of the one you already have.
Medical provider
Eddie Hughes, FNP-BC
15+ years
Medical experience
Free consults
No pressure to book
Financing
CareCredit, HSA & FSA
What you will learn on this page:
→ What Botox actually is and how it smooths wrinkles
→ Which areas Botox treats best, including jaw slimming and sweating
→ Botox for men: natural results that do not announce themselves
→ Why we often recommend Dysport, and when Botox is the better pick
→ What your first treatment looks like, start to finish
→ How long results last and what they cost
→ Answers to the questions patients ask most
What Is Botox?
Botox is an FDA-approved injectable that relaxes targeted facial muscles to soften wrinkles caused by repeated movement. It is most commonly used on forehead lines, frown lines between the brows, and crow’s feet around the eyes. Results are temporary and typically last three to four months.
Botox is a purified protein made from botulinum toxin type A. When injected into a specific muscle, it briefly interrupts the nerve signal that tells that muscle to contract. Less contraction means the skin above it stops creasing, and the lines caused by repeated movement soften.
Botox Cosmetic has been FDA-approved for cosmetic use since 2002 and has one of the longest safety records of any aesthetic treatment. It belongs to a family of products called neurotoxins, or wrinkle relaxers, which also includes Dysport, Xeomin, and Jeuveau. They all share the same active ingredient and work the same basic way, with small differences in how quickly they take effect and how they spread once injected.
What Botox Treats Best
Botox works on dynamic wrinkles, meaning lines created by muscle movement rather than by lost volume. The most commonly treated cosmetic areas are:
- Frown lines (“11s”), the vertical creases between the eyebrows
- Forehead lines, the horizontal lines that appear when you raise your brows
- Crow’s feet, the fine lines that fan out from the corners of the eyes
Beyond those classic three, Botox can also soften a gummy smile, create a subtle lip flip, and lift the brow slightly.
For lines caused by volume loss rather than movement, such as deeper folds around the mouth, a wrinkle relaxer is not the right tool. Those respond better to dermal fillers, and many patients combine the two for a more complete result.
Is this you?
Most people who come in for Botox recognize themselves in at least one of these.
- You look tired or stressed in photos even when you feel fine
- Forehead lines or the “11s” between your brows stay visible at rest
- Your jaw aches from clenching, or feels wider than you’d like
- Sweat soaks through your shirts no matter which antiperspirant you use
- You want to slow down lines before they set in
- You’ve held off because you’re afraid of looking obviously “done”
If two or more of those sound familiar, a consultation is the cheapest way to find out what would actually help.
Book a free consultBotox Beyond Wrinkles
Not every reason to get Botox is about lines. Two of the most requested non-wrinkle treatments at our Johnson City clinic are:
Jaw slimming and TMJ relief (masseter Botox). Relaxing the masseter, the large muscle along the jaw, can soften a square or overworked jawline and ease the tension that comes with chronic clenching and grinding. Patients who clench often notice both a slimmer jaw contour and real relief from jaw soreness and tension headaches that come from the clenching.
Excessive sweating (hyperhidrosis). Botox can dramatically reduce underarm sweating by blocking the nerve signals that activate sweat glands. For people who deal with sweat that soaks through shirts regardless of antiperspirant, the results can last several months and make a genuine difference in daily confidence.
Whether either of these is right for you is something we determine together at your consultation.
Botox for Men
More men are getting Botox than ever, and almost none of them want anyone to know. The concern we hear most from male patients is looking obviously “done” at work or in the mirror. That is exactly the result a conservative, anatomy-first approach is built to avoid.
Men generally have stronger, larger facial muscles than women, which usually means a different dosing strategy rather than simply more product. Done correctly, the result is a face that looks less tired and less tense, not frozen. The most common requests from men are softening deep forehead lines and frown lines, easing crow’s feet, and masseter treatment for jaw tension and clenching. If looking natural is the priority, you are exactly the kind of patient our approach is designed for. Many of our male patients also see us for men’s health services, so everything can be handled in one place.
Preventative Botox: Starting in Your 20s and 30s
You do not have to wait for deep lines to consider Botox. A growing number of younger patients come in for what is often called preventative Botox or “baby Botox,” using small, conservative doses to slow the formation of wrinkles before they set in.
The idea is simple. Lines like forehead creases and frown lines start as dynamic wrinkles that appear only when you move, then gradually become static lines etched into the skin over years of repeated movement. Easing that movement early, with a light touch, can delay that progression. Baby Botox uses fewer units than a traditional treatment, so the goal is a subtle softening that keeps full, natural expression while taking the edge off the movement that carves lines over time. Many patients pair light preventative dosing with skin treatments like microneedling for a fuller approach to aging well. Whether preventative treatment makes sense for you depends on your skin and how your face moves, which we will assess honestly at your consultation rather than talk you into anything you do not need.
Botox vs. Dysport: Our Honest Take
Patients almost always ask for Botox by name, because it is the brand everyone knows. We are glad to use it, and for some patients it is the right choice. But after years of treating Johnson City patients with both, we often recommend Dysport instead, and we want you to understand why.
| Botox Cosmetic | Dysport | |
|---|---|---|
| FDA-approved since | 2002 | 2009 |
| Results begin | 5 to 7 days | 2 to 3 days |
| Typical duration | 3 to 4 months | 4 to 5 months |
| Spread pattern | Stays tightly localized | Diffuses slightly wider |
| Best suited for | Small, precise areas | Larger areas like the forehead |
Dysport tends to show results a few days faster, often lasts a little longer, and its slightly wider spread can create smoother coverage across broad areas like the forehead. Botox, because it stays more localized, is excellent for precise, targeted work in smaller zones.
Neither is “better” in every case. The right choice depends on the area being treated, how your muscles respond, and your own goals. During your consultation we will walk through both and recommend the one we believe will give you the best result. For the full comparison across all wrinkle relaxers, see our guide to neurotoxin injections in Johnson City.
Not sure what you actually need?
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What’s bothering you most?
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Have you had a wrinkle relaxer before?
What actually happens, start to finish
Free consultation
We look at your facial structure, talk through what's bothering you, and build a plan around your goals and budget. You leave knowing what to expect and what it costs, with no pressure to book.
No cost, no commitmentSimple prep
Skip alcohol for 24 hours, pause blood-thinning supplements about a week out if your doctor approves, arrive with clean skin, and eat something beforehand.
The day beforeTreatment
We cleanse the area, mark precise injection points, and inject with ultra-fine needles. Most people describe it as quick pinpricks, milder than expected.
10 to 15 minutesBack to your day
Drive yourself home, return to work the same day. Avoid rubbing the area, stay upright, and skip the gym for the rest of the day.
No downtimeResults settle in
Nothing happens day one, which is normal. Smoothing starts within a few days and finishes settling around the two week mark. When movement returns months later, it's time for a touch-up.
10 to 14 daysHow Much Does Botox Cost in Johnson City?
Botox is priced per unit, so what you pay depends on how many units your treatment areas need rather than a flat fee. As a rough sense of scale, a single area like the frown lines typically uses fewer units, while treating the forehead, frown lines, and crow’s feet together uses more, and masseter treatment for jaw slimming uses more still because the muscle is larger. Most cosmetic treatments land somewhere in the range of 20 to 60 units total. Because every face and every goal is different, the only accurate number comes from seeing you in person at your free consultation.
To make treatment manageable, we offer competitive per-unit pricing, package options for multiple areas, seasonal specials, and CareCredit financing. We also accept HSA and FSA funds.
Current Specials
Running promotions change throughout the year. For our latest Botox and aesthetic specials, follow us on Facebook, where we post current offers, or just ask about any active specials when you book.
Get Younger-Looking Skin in About 10 MinutesWhy Patients Choose Peak Performance
Choosing where to get injected matters as much as choosing the product. At Peak Performance Wellness, your treatment is performed under the medical direction of Eddie Hughes, FNP-BC, not handed off to an unsupervised technician. That medical foundation, combined with an aesthetic eye, is what produces results that look like you on a good day rather than someone who clearly had work done.
Patients across the Tri-Cities choose us for natural-looking results, an honest approach to which product fits their needs, and an ongoing relationship for maintenance and adjustments over time. We also offer a full range of complementary aesthetic services, so if your goals call for more than a wrinkle relaxer, everything can be handled in one place.
Looking for Botox Near You in Johnson City?
If you have been searching for “Botox near me” or “Botox injections in Johnson City,” Peak Performance Wellness & Aesthetics offers natural-looking wrinkle treatment in a medical setting, with personalized treatment plans and free consultations. We are conveniently located on Bristol Highway and serve patients throughout Johnson City and the wider Tri-Cities region.
Botox Before and After Results
The best preview of your results is a conversation about your specific goals. During your free consultation we can walk through the kind of outcomes that are realistic for your treatment areas, whether that is softening forehead lines, easing frown lines, or slimming the jaw, so you know what to expect before anything is done.
Areas We Serve
Located on Bristol Highway in Johnson City, we welcome patients from across the Tri-Cities region looking for natural, professional Botox treatment. Whether you are driving in from Gray or Jonesborough for your appointment, or coming from Kingsport, Bristol, or Elizabethton, our clinic is an easy trip for expert cosmetic injectables.
- Johnson City, TN
- Kingsport, TN
- Bristol, TN/VA
- Elizabethton, TN
- Jonesborough, TN
- Gray, TN
- Piney Flats, TN
- Erwin, TN
- Abingdon, VA
Frequently Asked Questions About Botox
How much does Botox cost in Johnson City?
Botox is priced per unit, and most treatments use 20 to 60 units depending on the areas treated. A single area like the frown lines costs less than a full upper-face treatment. We confirm your exact price at your free consultation, so there are no surprises.
How long does Botox last?
Botox results typically last three to four months. As muscle movement gradually returns, the treated lines begin to reappear, which signals it is time for a touch-up. Masseter and sweating treatments often last a bit longer.
How many units of Botox do I need?
The number of units depends on the area treated, your muscle strength, and your goals. Forehead lines may need fewer units than a stronger frown line treatment or masseter Botox for jaw slimming. During your consultation we assess your facial anatomy and recommend the right amount for natural-looking results.
Does Botox hurt?
Most patients rate the discomfort around a 2 or 3 out of 10. We use ultra-fine needles, and the sensation is usually described as quick pinpricks that are over in a few minutes.
Will Botox make me look frozen?
Not when it is dosed and placed correctly. Our approach is conservative and natural by design. You keep your normal range of expression, just with softer lines.
Is Botox worth it?
For most people bothered by dynamic wrinkles, jaw tension, or excessive sweating, yes. It is one of the few aesthetic treatments that is quick, requires no downtime, and is fully temporary, so you can try it without committing to a permanent change.
At what age should you start Botox?
There is no perfect age to start. Some patients begin in their late 20s or early 30s as preventative treatment, while others wait until lines become more noticeable. Timing depends more on muscle movement, skin condition, and your personal goals than on age alone.
Should I get Botox or Dysport?
Both are excellent. Botox is great for small, precise areas, while Dysport often works better for larger areas and tends to show results faster. We recommend the right one for you during your consultation based on the areas you want treated and how your muscles respond.
Can Botox help with jaw clenching or a square jaw?
Yes. Relaxing the masseter muscle can both slim the jawline over time and relieve the tension and soreness that come with chronic clenching and grinding. Many patients come in for one benefit and are happy to get both.
Does Botox stop excessive sweating?
Botox can significantly reduce underarm sweating by blocking the nerve signals that trigger sweat glands. Results typically last several months before a repeat treatment is needed.
Do men get Botox?
Increasingly, yes. Men’s treatments use a dosing approach suited to stronger facial muscles, with the goal of a natural, less-tired look rather than an obvious one. Forehead lines, frown lines, and masseter treatment for jaw tension are the most common requests.
Is there any downtime?
No. You can return to work and normal activities right away. Just avoid strenuous exercise and rubbing the treated area for the rest of the day.
Is Botox safe?
Botox has been used cosmetically since 2002 and has a long, well-documented safety record when administered by a trained medical provider. Serious side effects are rare, and most patients experience nothing beyond minor temporary redness at the injection sites.
Can I combine Botox with other treatments?
Yes. Many patients pair Botox with dermal fillers, microneedling, or lip filler for a more complete refresh. We build a plan around your specific goals.
What Our Patients Are Saying
Ready to Smooth Those Lines?
Your free consultation is the first step. We will look at your skin, talk through Botox and Dysport, and give you an honest recommendation with clear pricing, no pressure to commit. Learn more about Peak Performance Wellness & Aesthetics and the full range of care we offer.
Call us: (423) 212-3703
Visit us: 3980 Bristol Hwy, Johnson City, TN 37601
Office Hours:
- Monday through Wednesday: 9 AM to 5 PM
- Thursday: 9 AM to 6 PM
- Friday: 9 AM to 2:30 PM
- Saturday and Sunday: Closed
Cosmetic results vary from patient to patient. The information on this page is for educational purposes and is not a substitute for a medical consultation. Treatment suitability is determined during your visit with our provider.
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Book a free consult Or call the office at (423) 212-3703 Mon–Wed 9–5 · Thu 9–6 · Fri 9–2:30 · 3980 Bristol Hwy, Johnson City